Oftalmología de urgencias. Un estudio epidemiológico: ¿se utilizan correctamente los recursos?

Domínguez-Serrano, F.B.; Molina-Solana, P.; Infante-Cossío, M.; Sala-Turrens, J.; Seva-Silva, N.; Rodríguez-de-la-Rúa-Franch, Enrique

doi:10.1016/j.oftal.2019.01.007

Cited by 17 publications

(11 citation statements)

References 6 publications

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“…During the pandemic, the number of daily emergencies remained homogeneous without abrupt changes between days of the week. In 2019, the number of OE were higher from Monday to Friday, and decreased over the weekend, a pattern already observed in other previous studies 5 . The application of home con nement measurements, the greater exibility of teleworking and the suppression of leisure activities may have been able to in uence the disappearance of this previous pattern ( gure 1).…”

Section: Discussionsupporting

confidence: 84%

“…[5][6][7]16,17 In both 2019 and 2020, the vast majority of OE were classi ed as non-emergent. Numerous articles have analysed the signi cant increase in the number of visits to the ED for ocular reasons, and several have agreed that a large part of the visits are due to non-emergent pathologies [5][6][7][8] Galindo-Ferreiro et al studied OE for a 5-year period in a Spanish hospital. They described growth in the number of OE presented year after year, from 157.34 per 10000 inhabitants in 2013, to 162.84 per 10000 in 2017.…”

Section: Discussionmentioning

confidence: 99%

“…Consultations and surgeries were cancelled or postponed, operating theatres reassigned, and several ophthalmologists relocated to attend to patients affected by Ophthalmology is a specialty with a high volume of emergencies 3,4 and a progressive increase in ophthalmological emergencies (OE) has been noted in recent years. 4,5 OE cover a wide range of diagnosis, with widely varying severity. 4,5 However several national 4,5 and international [6][7][8] studies suggest that almost half of emergency consultations are due to non-urgent pathologies.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 OE cover a wide range of diagnosis, with widely varying severity. 4,5 However several national 4,5 and international [6][7][8] studies suggest that almost half of emergency consultations are due to non-urgent pathologies. Although studies related to OE in Spain are scarce, the published data coincide with the international trend con rming nonemergent visits are the most frequent in the emergency department (ED), and anterior segment pathology is the most demanding cause.…”

Section: Introductionmentioning

confidence: 99%

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Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Puzo

Sánchez‐Monroy

Plana³

et al. 2021

Preprint

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Purpose: To evaluate ophthalmological emergencies (OE) during the COVID-19 pandemic comparing them with the same period of the previous year. Methods: Retrospective observational study of all OE visits in four tertiary hospitals in Spain comparing data from March 16th to April 30th, 2020 (COVID-19 period) and the same period of 2019 (pre-COVID-19 period). Severity of the conditions was assessed following Channa et al. publication. Data on demographics, diagnosis and treatments were collected from Electronic Medical Records. Results: During lockdown, OE significantly declined by 75.18%, from 7,730 registered in the pre-COVID-19 period to 1,928 attended during the COVID-19 period (p<0.001). In 2019, 23.86% of visits were classified as emergent, 59.50% as non-emergent, and 16.65% could not be determined. In 2020, the percentage of emergent visits increased up to 29.77%, non-emergent visits significantly decreased to 52.92% (p<0.001), and 17.31% of the visits were classified as “could not determine”. During the pandemic, people aged between 45 and 65 years old represented the largest attending group (37.89%), compared to 2019, where patients over 65 years were the majority (39.80%). In 2019, most frequent diagnosis was unspecified acute conjunctivitis (11.59%), followed by vitreous degeneration (6.47%), and punctate keratitis (5.86%). During the COVID-19 period, vitreous degeneration was the first cause for consultation (9.28%), followed by unspecified acute conjunctivitis (5.63%) and punctate keratitis (5.85%). Conclusions: OE visits dropped significantly during the pandemic in Spain (75.18%), although more than half were classified as non-urgent conditions, indicating a lack of understanding of the really emergent ocular pathologies among population.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Puzo

Sánchez‐Monroy

Plana³

et al. 2021

Preprint

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“…En el número de marzo de 2019, el Dr. Domínguez-Serrano et al 1 publicaban en la Sociedad Española de Oftalmología un estudio epidemiológico sobre la urgencia oftalmológica y se planteaban si se estaban utilizando correctamente los recursos. En el momento actual nos encontramos en un estado de alarma decretado por el gobierno debido a la pandemia por COVID-19, en el cual solo la afección verdaderamente urgente debería acudir a estos servicios.…”

Section: Has There Been a More Rational Use Of The Ophthalmic Emergenunclassified

¿Se ha hecho un uso más racional de los servicios de urgencias oftalmológicas ante la pandemia por COVID-19?

Lorente

Martín

Lossada

et al. 2020

Archivos de la Sociedad Española de Oftalmología

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Conjuntivitis y COVID-19: la importancia de un reconocimiento precoz por el médico

Lacorzana

Rocha‐de‐Lossada

Fernández-Vega-Cueto

et al. 2021

Enfermedades Infecciosas y Microbiología Clínica

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Oftalmología de urgencias. Un estudio epidemiológico: ¿se utilizan correctamente los recursos?

Cited by 17 publications

References 6 publications

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

Ocular related emergencies in Spain during the COVID-19 pandemic, a multicenter study.

¿Se ha hecho un uso más racional de los servicios de urgencias oftalmológicas ante la pandemia por COVID-19?

Conjuntivitis y COVID-19: la importancia de un reconocimiento precoz por el médico

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